SHOWER COVER 9IN X 9IN (27638)    VA PRODUCT (50.68)

Name Value
NAME SHOWER COVER 9IN X 9IN
VA GENERIC NAME SUPPLY
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME SUPPLY MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SHOWER COVER 9IN X 9IN
VA PRODUCT IDENTIFIER XI916
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036571
EFFECTIVE DATE/TIME
  • 2017-04-14 00:00:00
    STATUS:   ACTIVE